| NPI | 1639350374 |
|---|---|
| Doing Business As | ELLIOTT I CLEMENCE MD PA |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT IRVING CLEMENCE President 210-924-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX k0004) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2010-01-12 |